产科医生和妇科医生医生的实践地点 在Dobbs决定之前和之后
Becky Staiger1, Valentin Bolotnyy2, Sonya Borrero3
1Division of Health Policy and Management, University of California, Berkeley.
JAMA network open
|April 21, 2025
概括
国家堕胎政策在多布斯决定后并没有显著改变产科医生和妇科医生 (OBGYN) 实践地点. 该研究发现,在各州有不同的堕胎法律的情况下,妇产科医生供应没有发生重大变化.
科学领域:
- 生殖健康政策 生殖健康政策
- 医学实践趋势 医学实践趋势
- 公共卫生 公共卫生
背景情况:
- 国家堕胎政策可以显著影响产科医生和妇科医生 (OBGYNs) 的实践地点.
- 这些政策转变对生殖健康护理的获取和质量有潜在的影响.
- 最高法院在2022年6月的多布斯诉杰克逊妇女健康组织判决改变了美国堕胎的法律格局.
研究的目的:
- 在多布斯决定之前和之后调查产科医生实践地点的变化.
- 评估国家堕胎政策环境与妇产科医生实践地点趋势之间的关联.
- 分析堕胎法律不同的国家间的妇产科医生移动情况.
主要方法:
- 一项描述性队列研究,利用国家计划和提供者统计系统数据.
- 从2018年1月1日到2024年9月30日,对美国OBGYN实践地点的分析.
- 在多布斯决定之前和之后,比较各州的妇产科医生分布和移动情况,包括全面禁止堕胎,妊娠年龄限制/威胁禁止,以及堕胎保护.
主要成果:
- 这项研究包括60 085名OBGYN.
- 在多布斯后的所有政策环境中观察到每季度平均OBGYNs的增加:在总禁令状态下8.3%,在妊娠限制/威胁禁令状态下10.5%,在保护状态下7.7%.
- 报告指出,高保留率:95.8%的OBGYN仍在受保护国家,94.8%在受到威胁的禁令国家,94.2%在全面禁令国家.
结论:
- 在多布斯决定后,不同州的堕胎政策之间没有发现OBGYN实践位置趋势的显著差异.
- 这些发现表明,由于多布斯决定,OBGYN的供应没有发生重大变化.
- 需要进一步的研究来了解对提供生殖健康护理质量的影响.
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